ICD-10-CM Code Q18.6Macrocheilia

BILLABLE

Billable Code

Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.

POA Exempt

POA Exempt Code

The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.

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ICD-10 from 2011 - 2016

Q18.6 is a billable ICD code used to specify a diagnosis of macrocheilia. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

Indicator

Meaning

CMS Will Pay CC/MCC DRG Costs

Y

Diagnosis was present at time of inpatient admission

Yes

N

Diagnosis was not present at time of inpatient admission

No

U

Documentation insufficient to determine if the condition was present at the time of inpatient admission.

No

W

Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.

Yes

1

Exempt from POA reporting

No

The ICD code Q186 is used to code Macrocheilia

Macrocheilia is a condition of permanent swelling of the lip that results from greatly distended lymphatic spaces. This causes an abnormal largeness of the lips. This is sometimes seen in leprosy patients.

Coding Notes for Q18.6
Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:

Inclusion Terms

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

Hypertrophy of lip, congenital

MS-DRG Mapping

DRG Group #157-159 - Dental and oral diseases with MCC.

DRG Group #157-159 - Dental and oral diseases with CC.

DRG Group #157-159 - Dental and oral diseases without CC or MCC.

ICD-10-CM Alphabetical Index References for 'Q18.6 - Macrocheilia'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q18.6. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code
GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk.
This means that in all cases where the ICD9 code 744.81 was previously used, Q18.6 is the appropriate modern ICD10 code.